Provider Demographics
NPI:1215617758
Name:SUEN, ALEXANDRA E (LPC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:E
Last Name:SUEN
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:ALTIZER, LUDDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 20
Mailing Address - Street 2:
Mailing Address - City:MERRITTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15463-0020
Mailing Address - Country:US
Mailing Address - Phone:410-279-0137
Mailing Address - Fax:
Practice Address - Street 1:425 INDUSTRIAL AVE STE 201
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2287
Practice Address - Country:US
Practice Address - Phone:410-279-0137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2707101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional